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General NPI Number Information
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NPI Number | 1215636162
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Entity Type | Individual
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Provider Name | LISANDRA ARTILES SUAREZ
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Gender | Female
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Dates
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Enumeration Date | 03/01/2023
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Last Update Date | 03/01/2023
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Provider Practice Location Address
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Address Line | 100 E GRACE ST
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City | HARRISONBURG
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State | VA
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Zip | 22807-3272
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Country | US
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Telephone | 540-568-6439
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Fax |
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Provider Business Mailing Address
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Address Line | 1211 WATERMAN DR
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City | HARRISONBURG
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State | VA
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Zip | 22802-5600
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Country | US
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Telephone | 540-236-8839
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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